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NPI Code Detail

MEDICARE: LIFETIME HEALTHCARE & MEDICAL

MEDICARE: LIFETIME HEALTHCARE & MEDICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner
2164W00000XLicensed Practical Nurse
3171100000XAcupuncturist
4111N00000XChiropractor
5208100000XPhysical Medicine & Rehabilitation Physician
62083S0010XSports Medicine (Preventive Medicine) Physician
72251S0007XSports Physical Therapist
8204D00000XNeuromusculoskeletal Medicine & OMM Physician
9225200000XPhysical Therapy Assistant
10363AM0700XMedical Physician Assistant
11363L00000XNurse Practitioner
12111NS0005XSports Physician Chiropractor

General Provider Information

NPI Number : 1750023297
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFETIME HEALTHCARE & MEDICAL
Provider Business Mailing Address
First Line : 8155 W 94TH AVE
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-4515
Country : US
Telephone Number : 303-423-4610
Fax Number : 303-431-8658
Provider Business Practice Location Address
First Line : 8155 W 94TH AVE
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-4515
Country : US
Telephone Number : 303-423-4610
Fax Number : 303-431-8658
Authorized Official
Title or Position : PRESIDENT
Name : DR. RANDY BRUCE SNYDER
Credential : D.C.
Telephone Number : 303-423-4610
Provider Enumeration Date : 04/13/2022
Last Update Date : 05/12/2022

Similar Medicare Providers

1457893695 — JEFFREY BRYAN PRYSTUPA D.C
Practice Location Address:
8155 W 94TH AVE
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80021-4515
Practice Phone: 303-423-4610
Practice Fax:
1841145778 — DR. SYDNEY RENEE BICHEY DDS, MS
Practice Location Address:
8113 W 94TH AVE
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Practice Fax:
1124053905 — DR. DANNIELL JESUS REYES DC, CCSP, DACRB
Practice Location Address:
8155 W 94TH AVE
WESTMINSTER, CO
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Practice Fax:
1922144807 — EMBRACEABLE LLC
Practice Location Address:
8113 W 94TH AVE , COMFORT DENTAL BRACES NW
WESTMINSTER, CO
80021-4515
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Practice Fax: 303-432-9792
1639440811 — DR. GREGORY RAYMOND WERNER DDS
Practice Location Address:
8113 W 94TH AVE
WESTMINSTER, CO
80021-4515
Practice Phone: 303-432-9773
Practice Fax: 303-432-9792
1801634910 — DR. CHRISTOPHER MICHAEL JOHNSON DC
Practice Location Address:
8155 W 94TH AVE
WESTMINSTER, CO
80021-4515
Practice Phone: 303-423-4610
Practice Fax:

Directions to “LIFETIME HEALTHCARE & MEDICAL ” Practice Location

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